中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2015年
3期
290-291
,共2页
全髋关节置换术%单侧腰麻%罗哌卡因%老年患者
全髖關節置換術%單側腰痳%囉哌卡因%老年患者
전관관절치환술%단측요마%라고잡인%노년환자
Total hip replacement%Unilateral spinal anesthesia%Ropivacaine%Elder patients
目的：探讨老年患者行全髋关节置换术（THA）应用罗哌卡因单侧腰麻的麻醉效果和最佳浓度。方法：选择全髋关节置换手术老年患者60例，采取随机数字表法分成甲、乙、丙三组，均拟在单侧腰麻下行THA，三组均采用灭菌注射用水稀释，分别配制成0.375%、0.5%、及0.75%的罗哌卡因1.5ml，并采用患侧朝上体位行腰麻。对比三组感觉阻滞见效、运动阻滞见效、感觉恢复、运动恢复等指标，并记录不良反应。结果：甲组感觉阻滞见效时间、运动阻滞见效时间、感觉恢复时间、运动恢复时间均短于乙组（P＜0.05），丙组各时间参数与乙组间差异无统计学意义（P＞0.05）。三组并发症比较，甲组低血压、寒战、恶心呕吐等并发症发生率与乙组相比差异无统计学意义（P＞0.05），丙组各并发症发生率均高于乙组（P＜0.05）。结论：以0.5%罗哌卡因1.5ml应用于全髋关节置换术腰麻，镇痛效果完善，麻醉维持时间合理，循环安全稳定，与更低浓度相比不增加并发症发生率。
目的：探討老年患者行全髖關節置換術（THA）應用囉哌卡因單側腰痳的痳醉效果和最佳濃度。方法：選擇全髖關節置換手術老年患者60例，採取隨機數字錶法分成甲、乙、丙三組，均擬在單側腰痳下行THA，三組均採用滅菌註射用水稀釋，分彆配製成0.375%、0.5%、及0.75%的囉哌卡因1.5ml，併採用患側朝上體位行腰痳。對比三組感覺阻滯見效、運動阻滯見效、感覺恢複、運動恢複等指標，併記錄不良反應。結果：甲組感覺阻滯見效時間、運動阻滯見效時間、感覺恢複時間、運動恢複時間均短于乙組（P＜0.05），丙組各時間參數與乙組間差異無統計學意義（P＞0.05）。三組併髮癥比較，甲組低血壓、寒戰、噁心嘔吐等併髮癥髮生率與乙組相比差異無統計學意義（P＞0.05），丙組各併髮癥髮生率均高于乙組（P＜0.05）。結論：以0.5%囉哌卡因1.5ml應用于全髖關節置換術腰痳，鎮痛效果完善，痳醉維持時間閤理，循環安全穩定，與更低濃度相比不增加併髮癥髮生率。
목적：탐토노년환자행전관관절치환술（THA）응용라고잡인단측요마적마취효과화최가농도。방법：선택전관관절치환수술노년환자60례，채취수궤수자표법분성갑、을、병삼조，균의재단측요마하행THA，삼조균채용멸균주사용수희석，분별배제성0.375%、0.5%、급0.75%적라고잡인1.5ml，병채용환측조상체위행요마。대비삼조감각조체견효、운동조체견효、감각회복、운동회복등지표，병기록불량반응。결과：갑조감각조체견효시간、운동조체견효시간、감각회복시간、운동회복시간균단우을조（P＜0.05），병조각시간삼수여을조간차이무통계학의의（P＞0.05）。삼조병발증비교，갑조저혈압、한전、악심구토등병발증발생솔여을조상비차이무통계학의의（P＞0.05），병조각병발증발생솔균고우을조（P＜0.05）。결론：이0.5%라고잡인1.5ml응용우전관관절치환술요마，진통효과완선，마취유지시간합리，순배안전은정，여경저농도상비불증가병발증발생솔。
Objective: To investigate the elderly patients undergoing total hip arthroplasty (THA) anesthesia effect of unilateral spinal anesthesia with ropivacaine and optimum concentration.Methods:60 elderly patients with total hip replacement operation patients, randomly divided into a, B, C three groups, are to be in the unilateral spinal anesthesia for THA, three groups use the Sterile Water for Injection dilution, were prepared in 0.375%, 0.5%, and 0.75% ropivacaine 1.5ml, and used the ipsilateral upward posture spinal anesthesia. Comparing the three groups of sensory block, motor block effect effect, sensory recovery, the recovery of movement and other indicators, and record adverse reactions.Results:The first sensory block, motor block effective time response time, recovery time, feel the movement recovery time were shorter Yu Yizu (P<0.05), group C each time parameters and B group differences had no statistical significance (P>0.05). Comparison of three groups of complications in group A, hypotension, chills, nausea and vomiting complication rate in group B compared with no significant difference (P>0.05), and group C with various complications are higher than that in group B (P<0.05).Conclusion:With 0.5% ropivacaine 1.5ml applied in the total hip replacement surgery of lumbar hemp, perfect analgesia, anesthesia maintenance cycle time is reasonable, safe and stable, and lower concentrations do not increase the rate of complications.
